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1740535939
BRIAN L SHANNON
MORGANTOWN, WV
NPI
1740535939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001171)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
Mr. BRIAN L SHANNON
1 MEDICAL CENTER DRIVE LEVEL 1, HSC SOUTH
MORGANTOWN, WV 26506-9152
Phone number: 304-288-4096
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Mailing Address
Mr. BRIAN L SHANNON
PO BOX 9152
MORGANTOWN, WV 26506-9152
Phone number: 304-288-4096
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